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- W2896442826 abstract "Early or timely diagnosis of dementia enables earlier psychological and pharmacological treatment. Some evidence from US-based studies suggests that Black and Minority Ethnic people (BME) with dementia may face barriers in accessing a timely diagnosis and good mental and physical healthcare; however, little is known about the situation in the UK. We analyzed UK primary care electronic health records between 2007 and 2015, and compared incidence rates of recorded dementia diagnosis to dementia incidence rates from community cohort studies. We compared anti-dementia drug receipt between ethnic groups for 2013 through 2015. We included 2,511,681 individuals aged 50-105 years to analyze recorded dementia diagnosis incidence and anti-dementia drug receipt. 66,083 individuals had a dementia diagnosis recorded (4.87/1,000 person years at risk (PYAR); 95% Confidence Interval (CI) 4.83 to 4.90); this incidence increased from 3.75 to 5.65/1000 PYAR between 2007 and 2015. Compared to White women, the dementia diagnosis rate was 28% lower among Asian women (adjusted IRR = 0.82, 95% CI 0.72 to 0.95, p = 0.008), and 25% higher among Black women (1.25, 1.07 to 1.46, p = 0.005). It was 28% higher in Black compared with White men (1.28, 1.08 to 1.50, p = 0.004). There was no evidence that rates differed between Asian and White men (0.88, 0.76 to 1.01, p = 0.074). We estimated that 42% of Black men with dementia in 2015 received a diagnosis compared with 53% of White men. We will present new findings regarding anti-dementia drug receipt and other indices of good quality care between ethnic groups. We estimated that Black men developing dementia were 11% less likely than their White counterparts to have a recorded diagnosis. Nonetheless because of their higher dementia incidence, people from Black ethnic groups had a higher incidence of recorded dementia diagnoses than White groups. It is unclear whether the lower rate of dementia diagnosis in Asian ethnic groups reflects a lower community incidence or under-diagnosis; a cohort study to determine this is now needed. We will discuss our new findings regarding how good quality dementia care, including symptomatic treatment, might vary between ethnic groups." @default.
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- W2896442826 date "2018-07-01" @default.
- W2896442826 modified "2023-10-16" @default.
- W2896442826 title "O1‐05‐06: DEMENTIA DIAGNOSIS AND CARE IN UK ETHNIC GROUPS: INVESTIGATING INEQUALITIES IN UK PRIMARY CARE DATA" @default.
- W2896442826 doi "https://doi.org/10.1016/j.jalz.2018.06.2359" @default.
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